Individual
JAINA VALLARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APRN-BC
Contact information
Practice address
12266 DE PAUL DR STE 205, BRIDGETON, MO 63044-2514
(314) 218-2300
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2024025455
MO
363LA2100X
Acute Care Nurse Practitioner
2024025455
MO
363LA2100X
Acute Care Nurse Practitioner
26NJ00044400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039195
—
NJ
Enumeration date
09/16/2006
Last updated
02/10/2026
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